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Journal of Case Reports
Cystic Artery Pseudoaneurysm: Over Warfarinisation and Management
Nishanthinie Parathithasan, Daniel Croagh
From the Department of Upper Gastrointestinal and Hepatobiliary Surgery, Monash Medical Centre, Monash Health, Victoria.
Corresponding Author:
Dr. Nishanthinie Parathithasan
Email: nishanthinie.p@gmail.com
Received: 3 AUGUST 2013 Accepted: 10-AUGUST-2013 Published Online: 05-SEP-2013
DOI: http://dx.doi.org/10.17659/01.2013.0072
Abstract
Cystic artery pseduoaneurym is a rare cause of haemobilia. A 78 year old man who was over-warfarinised, developed jaundice, upper abdominal pain and melena. He also required blood transfusions due to rapidly reducing haemoglobin. Computed tomography showed a cystic artery pseudoaneurysm caused by possible cholecystitis or gallbladder cancer. He successfully underwent angiographic coil embolisation. Haemobilia should be considered a differential cause of gastrointestinal bleeding if the above clinical features are present and especially if the patient is over anticoagulated. 
Keywords : Gallbladder Neoplasms, False Aneurysm, Cholecystitis, Abdominal Pain, Jaundice, Melena.
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